Active NPI
Derek Winegar, DDS
- Dentist
- Temple, TX
National Provider Identifier
1649416157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24591
- Practice address
- 803 S 37TH St
Temple, TX 76504-5279 - Phone
- (254) 778-1990
- NPI assigned
- Jan 5, 2009
- Last updated
- May 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 71786569922 | UT | |
| Dentist | 122300000X | 24591 | TX | Primary |
Addresses
Primary practice location
803 S 37TH St
Temple, TX 76504-5279
Mailing address
523 Cambridge Cir
SLC, UT 84103-4233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24591 | TX | MD | Dentist |
| 71786569922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Tucker PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Temple, TX
- NPI 1891911236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1649416157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 CAMBRIDGE CIR",
"city": "SLC",
"state": "UT",
"postal_code": "841034233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 S 37TH ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765045279",
"telephone_number": "254-778-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINEGAR",
"first_name": "DEREK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-05",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "71786569922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.